Aneurysm of the Inferior Vena Cava: Case Report and Review of the Literature

Gradman, Wayne S.; Steinberg, Fred

doi:10.1007/bf02002888

Cited by 63 publications

(73 citation statements)

References 10 publications

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“…3 Etiology is unknown for most of them, but some authors have suggested an embryological or congenital origin, given their occasional association with other congenital anomalies. 4 In this case, the young age at presentation, absence of previous trauma, or other conditions support this hypothesis.…”

Section: Discussionsupporting

confidence: 58%

“…It was not possible to establish whether the aneurysm was sacular or fusiform because of the massive bleeding that occurred during surgery. [3][4][5] Although arterial aneurysmal dilatations represent a well-recognized clinical entity, these formations rarely appear in the venous territory. Aneurysms involving the IVC are extremely uncommon with <30 reported cases, and exceptionally described in children.…”

Section: Discussionmentioning

confidence: 98%

“…[1][2][3][4][5][6][7] To date, their etiology is unknown and some authors have hypothesized that it can be related to a congenital defect. Most cases present as incidental radiologic findings in asymptomatic patients, but can appear as life-threatening massive thrombosis.…”

mentioning

confidence: 99%

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Inferior Vena Cava Aneurysm in an Infant Presenting With a Renal Mass

Unzueta-Roch

García-Abós

Sirvent-Cerdá

et al. 2014

Journal of Pediatric Hematology/Oncology

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Aneurysm of the inferior vena cava is a rare finding in the pediatric population. We report the case of a 5-month-old infant presenting with anemia, hypertension, and dehydration in the emergency room. A renal mass was found with ultrasound and MRI and a renal tumor was first considered. Histopathologic review of the surgical specimen led to the diagnosis of aneurysmal dilatation of the vena cava.

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 98%

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Inferior Vena Cava Aneurysm in an Infant Presenting With a Renal Mass

Unzueta-Roch

García-Abós

Sirvent-Cerdá

et al. 2014

Journal of Pediatric Hematology/Oncology

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“…11 Congenital IVC anomalies can be divided into three anatomical types: 8,12 IVC aneurysms are thought to be congenital, developing at anastomoses of the embryological venous systems. 14,15 More commonly saccular, often associated with other congenital cardiovascular abnormalities, they may remain subclinical or present with pain, rupture, DVT (usually bilateral) or IVC thrombosis. 15 These anomalies cause IVC thrombosis via volume restriction of channels returning blood to the heart, which despite prominent collaterals, cause venous hypertension, stasis and subsequent venous thrombosis.…”

Section: Congenital Ivc Anomaliesmentioning

confidence: 99%

Inferior vena cava thrombosis: A review of current practice

et al. 2013

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Inferior vena cava (IVC) thrombosis remains under-recognised as it is often not pursued as a primary diagnosis. The aetiology of IVC thrombosis can be divided into congenital versus acquired, with all aetiological factors found among Virchow's triad of stasis, injury and hypercoagulability. Signs and symptoms are related to aetiology and range from no symptoms to cardiovascular collapse. Painful lower limb swelling combined with lower back pain, pyrexia, dilatation of cutaneous abdominal wall veins and a concurrent rise in inflammatory markers are suggestive of IVC thrombosis. Following initial lower limb venous duplex, magnetic resonance imaging (MRI) is the optimal non-invasive imaging tool. Aetiology directs treatment, which ranges from anticoagulation and lower limb compression to open surgery, with endovascular therapies increasingly favoured. The objective of this review is to assess current literature on the aetiology, presentation, investigation, treatment, prognosis and other factors pertaining to IVC thrombosis.

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“…Presenting symptoms include abdominal pain, IVC syndrome, tachycardia, upper gastrointestinal bleeding secondary to venobiliary fistulas, hemorrhagic shock secondary to rupture, and pulmonary embolus or other thromboembolic phenomenons secondary to IVC thrombus formation. 1,6 In the available reports of aneurysms of the IVC, the main treatment has been by traditional surgical interventions, but there is mention of newer endovascular techniques. The methods of treatment depend on whether the patient presents with hemodynamic instability, is stable with symptoms, or is asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Nonoperative management of traumatic suprahepatic inferior vena cava pseudoaneurysms

Kunkala

Jenkins

McEachen

et al. 2011

Journal of Vascular Surgery

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Inferior vena cava (IVC) pseudoaneurysms are rare clinical entities with an uncertain natural history due to limited follow-up information. This case report describes a 30-year-old woman with two IVC pseudoaneurysms and their associated anatomy. It also details our treatment plan, with follow-up through radiographic resolution of the pseudoaneurysms. To our knowledge, this is the first case report to document a patient with two pseudoaneurysms of the IVC and full resolution treated by nonoperative management.

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Aneurysm of the Inferior Vena Cava: Case Report and Review of the Literature

Cited by 63 publications

References 10 publications

Inferior Vena Cava Aneurysm in an Infant Presenting With a Renal Mass

Inferior Vena Cava Aneurysm in an Infant Presenting With a Renal Mass

Inferior vena cava thrombosis: A review of current practice

Nonoperative management of traumatic suprahepatic inferior vena cava pseudoaneurysms

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